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Introducing Summative Progress Testing in Radiology Residency: Little Change in Residents' Test Results After

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Transitioning radiology residency progress tests from formative to summative did not significantly alter overall resident scores, though some subgroups may benefit. Further research is needed to explore these educational effects.

Keywords:
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Area of Science:

  • Medical Education
  • Radiology Residency Training
  • Assessment Methods

Background:

  • The educational impact of shifting from formative to summative progress testing in medical education remains unclear.
  • This study examines the transition in radiology residency programs.

Purpose of the Study:

  • To investigate if transitioning radiology residency progress testing from formative to summative assessment affects resident test performance.

Main Methods:

  • A national cohort of over 300 radiology residents was studied over 7 semi-annual progress tests (2015-2019).
  • The study compared residents under a revised program with a summative pass requirement to those under the previous formative-only system.

Main Results:

  • Relative test scores showed significant differences between summative and formative groups in specific postgraduate years, but scores fluctuated without consistent trends.
  • The percentage of residents achieving pass standards did not significantly differ between the groups or across tests.
  • Educational setting limitations affected resident distribution across conditions and years.

Conclusions:

  • Transitioning to summative progress testing was associated with stable overall resident test results in the years following the change.
  • The study suggests potential positive educational effects for specific resident subgroups, warranting further investigation.